Search › Ohio › 363LA2200X
Andrew Black, APRN
NPI 1346726999 · on the registry since 2018
Practice
- Address
- 5041 Victor Dr Ste C
Medina, OH 44256 - Phone
- (330) 723-3338
- Organisation at this address
- Sushil K Jain Md Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio